Iphunga lempumlo

Ivumba lokuphefumla livumba lomoya ophefumla ngomlomo wakho. Ivumba elingathandekiyo lokuphefumla lidla ngokubizwa ngokuba liphunga elibi.

Ukuphefumla kakubi kuhlala kuhambelana nococeko lwamazinyo. Ukungaxubha kunye nokubhabha rhoqo kubangela ukuba iikhompawundi zesulphur zikhutshwe ziibhaktheriya emlonyeni.

Ezinye iingxaki ziya kuvelisa amavumba aphefumlayo. Eminye imizekelo yile:

• Ivumba elineziqhamo emphefumlweni luphawu lwe-ketoacidosis, enokuthi ivele kwisifo seswekile. Yimeko esongela ubomi.
• Ukuphefumla okunukayo njengelindle kunokwenzeka ngokugabha okungapheliyo, ngakumbi xa kukho isithintelo samathumbu. Inokwenzeka kwakhona okwethutyana ukuba umntu unetyhubhu ebekwe ngempumlo okanye emlonyeni ukukhupha isisu sakhe.
• Umphefumlo unganuka njenge-ammonia (ikwachazwa njenge-urine-like or "fishy") kubantu abanezintso ezingapheliyo.

Ukuphefumla kakubi kunokubangelwa:

• Izinyo elifunyenwe
• Utyando lweentsini
• Utywala
• Imivalo
• Amazinyo okufakelwa
• Ukutya ukutya okuthile, okufana nekhaphetshu, igalikhi, okanye itswele eluhlaza
• Ikofu kunye nokutya okungalinganiyo kwe-pH
• Into incamathele empumlweni (ihlala isenzeka ebantwaneni); kaninzi ukukhutshwa okumhlophe, tyheli, okanye igazi elivela kwimpumlo enye
• Isifo seentsini (gingivitis, gingivostomatitis, ANUG)
• Izinyo ezichaphazelekayo
• Ucoceko lwamazinyo olubi
• Tonsils kunye crypts ezinzulu kunye granules nesalfure
• Usulelo lweSinus
• Usulelo lomqala
• Ukutshaya icuba
• I-Vitamin supplements (ngakumbi kwiidosi ezinkulu)
• Amanye amayeza, kubandakanya i-insulin shots, triamterene, kunye neparaldehyde

Ezinye izifo ezinokubangela ivumba lokuphefumla zezi:

• I-acute necrotizing ulcerative gingivitis (ANUG)
• Acute necrotizing izilonda mucositis
• Isifo se-reflux sesifo se-Gastroesophageal (GERD)
• Ukungasebenzi kakuhle kwezintso
• Ukuthintelwa kwamathumbu
• IBronchiectasis
• Ukusilela kwezintso okungapheliyo
• Umhlaza wesisu
• Isisu somhlaza
• I-Gastrojejunocolic fistula
• I-hepatic encephalopathy
• I-ketoacidosis yeswekile
• Usulelo lwemiphunga okanye ithumba
• Ozena, okanye i-atrophic rhinitis
• Isifo sePeriodontal
• Pharyngitis
• UZenker diverticulum

Sebenzisa ucoceko olufanelekileyo lwamazinyo, ngakumbi ukuntywila. Khumbula ukuba ukuhlanjwa ngomlomo akusebenzi kunyango olusisiseko.

Iparsley entsha okanye iminti eyomeleleyo ihlala iyindlela esebenzayo yokulwa nomphunga ombi okwethutyana. Kuphephe ukutshaya.

Ngaphandle koko, landela imiyalelo yomboneleli wakho wezempilo ukunyanga nasiphi na isizathu esingunobangela wokuphefumla kakubi.

Nxibelelana nomboneleli wakho ukuba:

• Iphunga lokuphefumla alihambi kwaye akukho sizathu sibonakalayo (njengokutshaya okanye ukutya ukutya okubangela ivumba).
• Unomphunga wokuphefumla kunye neempawu zosulelo lokuphefumla, ezinje ngomkhuhlane, ukukhwehlela, okanye ubuso obuhlungu ngokukhupha impumlo.

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba.

Unokucelwa le mibuzo ilandelayo ngembali yezonyango:

• Ngaba likho ivumba elithile (njengentlanzi, i-ammonia, iziqhamo, ilindle, okanye utywala)?
• Ngaba ukhe watya isidlo esiqholiweyo, igalikhi, ikhaphetshu, okanye okunye ukutya "okunuka kakubi"?
• Ngaba uthatha izongezo zevithamini?
• Uyatshaya?
• Loluphi ukhathalelo lwasekhaya kunye nococeko lomlomo okhe walizama? Zisebenza kangakanani?
• Ngaba ukhe wanomqala obuhlungu obuvela kutshanje, usulelo lwesono, ithumba lezinyo, okanye esinye isifo?
• Zeziphi ezinye iimpawu onazo?

Uvavanyo lomzimba luya kubandakanya uvavanyo olucokisekileyo lomlomo kunye nempumlo. Inkcubeko yomqala ingathathwa ukuba unesifo somqala okanye isilonda somlomo.

Kwiimeko ezinqabileyo, iimvavanyo ezinokuthi zenziwe zibandakanya:

• Uvavanyo lwegazi ukukhusela isifo seswekile okanye ukusilela kwezintso
• I-Endoscopy (i-EGD)
• X-reyi yesisu
• X-ray esifubeni

I-antibiotics inokumiselwa kwezinye iimeko. Kwinto esempumlweni, umboneleli wakho uya kusebenzisa isixhobo ukuyisusa.

Umphunga ombi; Halitosis; Malodor; I-Fetor oris; I-Fetor ex ore; Fetor ex oris; Ukuphefumla malodor; Malodor yomlomo

Umrha AH. Sondela kwisigulana ngeempumlo, isinus, kunye nokuphazamiseka kwendlebe. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 398.

UQuirynen M, uLaleman I, iGeest SD, i-CD yakho, iDekeyser C, iTeughels W. Breath malodor. Ku: Newman MG, Takei HH, Klokkevold PR, Carranza FA, ii-eds. INewman kunye neCarranza's Clinical Periodontology. Umhla we-13. IPhiladelphia, PA: Elsevier; I-2019: isahluko 49.